Welcome Providers

At METCARE Health Plans, Inc., we value our relationship with our providers. That's why we provide quick and easy online access to the resources and information you need most.

For specific information related to your practice and members log-in to our secured site for providers.

Tools & Resources

Find forms and information that will help you and your office staff work productively as an AdvantageCare provider. The answers to many of your questions regarding policies and procedures can be found here.

Referrals and Prior-Authorization

Understand AdvantageCare Referral and Prior-Authorization Process. Download and print the appropriate referral and prior authorization forms for your patients needs. Members will need approval from AdvantageCare for services requiring prior authorization prior to the service being rendered.

Claims Information

Review details on submitting claims, receiving payments and appeals / dispute process.

News and Updates

Get latest updates from AdvantageCare. Information includes provider notices, newsletters, provider network information and much more.

On-line Resources

You can use our on-line tools that make it easy for you to do business with AdvantageCare.

Clinical Guidelines & Health Improvement Program

AdvantageCare clinical guidelines for common disease states from nationally recognized health organizations help you in serving your patients. Our Health Improvement Programs for Heart Failure and Diabetes may help at-risk members.

Medicare Part D Information

Search AdvantageCare Medicare Part D formulary and participating Pharmacy locations. Download appropriate Injectable and Part D prior authorization forms. Members will need approval from AdvantageCare for those drugs listed as requiring prior authorization before the drug may be covered.

Attention Non-Participating Providers Servicing AdvantageCare Members who have a POS (point of service) Benefit Download and print the document below. This will provide you with all the information needed to service our members. POS Benefit - Non-Participating Providers

Contact Us

If you are a Plan Participating Provider and need to get in touch with your local provider service representative, you may contact your provider rep by phone or email.

If you would like to join our Provider Network and have questions on reimbursement or would like to review our Provider Agreement, you may contact our local provider service representative by phone or email.

Toll free: 1-866-692-3822

Email:

Treasure Coast (Martin, St. Lucie, Okeechobee and Glades Counties)
providerrelationstc@advantagecare.com

Gulf Coast (Lee, Charlotte, Sarasota, Manatee and Collier Counties) providerrelationsgc@advantagecare.com

Central Florida (Polk, Lake, Sumter and Marion Counties)
providerrelationscf@advantagecare.com